Coder, Certified

Shenandoah Medical Center•Shenandoah, IA

About The Position

This role involves accurately coding and sequencing diagnoses and procedures according to coding guidelines, abstracting clinical information for optimal reimbursement, and ensuring accurate billing and coding practices. The position also requires professional growth through continuous learning and adherence to regulatory requirements, as well as performing other assigned duties.

Requirements

Accurate coding and sequencing of diagnoses and procedures.
Ability to abstract accurate clinical information.
Proficiency in using multiple information systems.
Participation in audits.
Maintaining contact with staff and providers regarding documentation.
Resolving billing issues with departments.
Collaboration with healthcare providers, compliance, and coding teams.
Developing personal educational objectives for continuing education.
Meeting continuing education requirements for CPC, COC, CCS, CCS-P, RHIT, and RHIA certification.
Organizational skills, self-motivation, and flexibility.
Maintaining current knowledge of NCCI Coding standards, JCAHO/CMS criteria.
Maintaining current knowledge of ICD-10 CM/PCS, CPT-4 and HCPCS.
Providing feedback and education on code changes.
Organizing data for trend identification and feedback.
Compliance with departmental and organizational policies and procedures.
Compliance with regulatory requirements (OSHA, CMS, Joint Commission, etc.).
Participation in safety and quality activities.

Nice To Haves

CPC, COC, CCS, CCS-P, RHIT, and RHIA certification.

Responsibilities

Accurately codes and sequences diagnosis and procedures according to coding guidelines and abstract accurate clinical information for optimum reimbursement.
Reviews documentation to determine the diagnosis and procedures performed.
Assigns charge master codes, modifiers for appropriate billing and sequencing.
Uses multiple information systems to accurately select the correct patient account to enter patient billable charges.
Participates in audits to capture lost charges and determine accuracy of billing and coding.
Maintains active contact with staff and providers on missing or inaccurate documentation.
Maintains active contact with departments to resolve billing issues.
Communicates and collaborates with healthcare providers/ compliance/coding on identifying changes in documentation that may lead to maximizing reimbursement.
Demonstrates professional growth by developing personal educational objectives to maintain coding knowledge and regulatory requirements and participating in opportunities to assure continued adherence to professional standards and the provision of highest quality care.
Plans and implements a program for continuing self-development to meet continuing education requirements for CPC, COC, CCS, CCS-P, RHIT, and RHIA certification.
Demonstrates organizational skills, self-motivation and flexibility in meeting personal, professional and institutional objectives.
Maintains current knowledge of national NCCI Coding standards of practice, JCAHO/CMS, and criteria appropriate to coding and billing.
Maintains current knowledge of changes in ICD-10 CM/PCS, CPT-4 and HCPCS.
Provide feedback and education on codes that are changed or no longer appropriate for billable items.
Organizes data to allow for identification of documentation trends to provide feedback to staff and other healthcare providers to allow for increased capture of billable items.
Follows policies/procedures/regulatory requirements and performs other work assignments.
Complies with all departmental and organizational policies and procedures in addition to regulatory requirements (such as OSHA, CMS, Joint Commission, etc.).
Participates in corporate/departmental safety and quality activities.
Performs other duties as assigned.